Chimoskey S J, Norris T E
University of Washington School of Medicine, Seattle, USA.
J Am Med Inform Assoc. 1999 Jul-Aug;6(4):332-3. doi: 10.1136/jamia.0060332.
Studies have suggested that rural physicians do not use MEDLINE to aid their clinical decision making, and yet rural physicians appear to be a group that would benefit greatly from the use of MEDLINE because of their isolation from libraries and colleagues. This study was undertaken to understand why a population so likely to benefit from the use of MEDLINE is not using it. The study confirmed that rural physicians regard colleagues, reference texts, and journal articles as the most important information sources. However, a surprising number of rural generalist physicians in Washington, 40 percent of respondents, use MEDLINE, and most possess the requisite awareness, resources, and ability to use MEDLINE. Of those who use MEDLINE, 70 percent consider it a valuable clinical tool.
研究表明，乡村医生并不使用医学文献数据库（MEDLINE）来辅助他们的临床决策，然而乡村医生似乎是一个能从使用MEDLINE中大大受益的群体，因为他们与图书馆及同行相隔绝。开展这项研究是为了弄明白为何一个如此可能从使用MEDLINE中受益的群体却不使用它。该研究证实，乡村医生将同行、参考书籍和期刊文章视为最重要的信息来源。然而，华盛顿州数量惊人的乡村全科医生（40%的受访者）使用MEDLINE，而且大多数人具备使用MEDLINE所需的意识、资源和能力。在那些使用MEDLINE的人中，70%认为它是一种有价值的临床工具。
